Organization
LAZOS DE AMOR PHC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICENTE HERNANDEZ (OWNER)
(956) 800-3448
Entity
Organization
Contact information
Practice address
7228 DOMINICA DR, BROWNSVILLE, TX 78520-4166
(956) 800-3448
Mailing address
6104 PIPERS WALK, BROWNSVILLE, TX 78526-2226
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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